Regarding the Joint Statement From the American College of Surgeons Committee on Trauma and the American College of Emergency Physicians Regarding the Clinical Use of Resuscitative Endovascular Balloon Occlusion of the Aorta

Trauma remains a leading cause of mortality in the United States ( 1 Brenner M. Bulger E.M. Perina D.G. et al. Joint statement from the American College of Surgeons Committee on Trauma (ACS COT) and the American College of Emergency Physicians (ACEP) regarding the clinical use of Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA). Trauma Surg Acute Care Open. 2018; 3: e000154 PubMed Google Scholar , 2 National Center for Health Statistics Health, United States, 2016: with chartbook on long-term health trends in health. National Center for Health Statistics, Hyattsville, MD2017 Google Scholar ). In 2016, American College of Emergency Physicians (ACEP) and the American College of Surgeons Committee on Trauma were major stakeholders in the National Academy of Science, Engineering and Medicine report that suggested there are up to 30,000 preventable deaths from trauma annually in the United States, many from uncontrolled hemorrhage ( 3 Berwick D.M. Downey A.S. Cornett E. et al. A national trauma care system: integrating military and civilian trauma systems to achieve zero preventable deaths after injury. National Academies Press, Washington, DC2016 Crossref Scopus (27) Google Scholar ). As the frontline provider, the emergency physician (EP) must receive extensive training in the care of traumatically injured patients. Several procedural interventions, including the performance of an emergency department resuscitative thoracotomy (EDRT), ultrasound, and arterial catheter insertion, are therefore included as part of the Model of Clinical Practice for Emergency Medicine ( 4 Counselman F.L. Babu K. Edens M.A. et al. The 2016 model of the clinical practice of emergency medicine. J Emerg Med. 2017; 52: 846-849 Abstract Full Text Full Text PDF PubMed Scopus (73) Google Scholar ). The 2016 Model of the Clinical Practice of Emergency MedicineJournal of Emergency MedicineVol. 52Issue 6PreviewEmergency medicine (EM) has a scientifically derived and commonly accepted description of the domain of its clinical practice. That document, “The Model of the Clinical Practice of Emergency Medicine” (EM Model), was developed through the collaboration of six organizations: the American Board of Emergency Medicine (ABEM), the administrative organization for the project, the American College of Emergency Physicians (ACEP), the Council of Emergency Medicine Residency Directors (CORD), the Emergency Medicine Residents' Association (EMRA), the Residency Review Committee for Emergency Medicine (RRC-EM), and the Society for Academic Emergency Medicine (SAEM). Full-Text PDF Open Access